| NPI | 1053041020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2305085) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2023-07-21 |